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  • Are there any LLMD's that are covered by insurance?

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    Old 03-26-2007, 07:48 AM   #1
    DavinoPA
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    Are there any LLMD's that are covered by insurance?

    I called Aetna, they said they don't have that listed as a category of doctor. Is it possible to get a refferal from my primary doctor?

     
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    Old 03-26-2007, 02:13 PM   #2
    Bill S
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    Re: Are there any LLMD's that are covered by insurance?

    Your best bet would be to go here and get a doc's info, then contact him directly...

    http://www.lymediseaseassociation.org/Doctor_Referrals.html

    My experience is that most LLMDs don't take insurance; a few will. Some will make you pay upfront, but file the paperwork for you.

    My doc doesn't. My initial visit was just over $1000, what with all the testing needed. My insurance re-imbursed me $256...I can see why docs don't take insurance if they can get by without not doing so...

    I see more and more General practicioners doing this as well, not just Lyme docs.

    Last edited by Bill S; 03-26-2007 at 02:13 PM.

     
    Old 03-27-2007, 03:23 PM   #3
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    Re: Are there any LLMD's that are covered by insurance?

    The insurance companies do not know them as LLMD's, just as physicians. At the time I was treated, my insurance covered everything.

     
    Old 03-28-2007, 02:49 AM   #4
    Bill S
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    Re: Are there any LLMD's that are covered by insurance?

    Quote:
    Originally Posted by dynawg View Post
    The insurance companies do not know them as LLMD's, just as physicians. At the time I was treated, my insurance covered everything.
    Did they cover the Igenex testing? I found their "customary" payments to the docs to be absolutely pitiful. Customary in Somalia maybe...no wonder docs are starting to not take various insurances at all; they can't pay their bills on what the insurance pays.

    They have to make it up on sheer volume just to stay afloat, IMHO. Not a good recipe for success in dealing with Lymes in a 15-minute visit. My doc takes 45 mins generally for a follow up visit; he's thorough.

     
    Old 03-29-2007, 07:02 AM   #5
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    Re: Are there any LLMD's that are covered by insurance?

    I found a LLMD who is in PA, who is listed as a provider on my husband's insurance co's website. He's a primary care provider/physician, so as far as I know (and from what another person on a different board has told me), his office takes co-pays. Hopefully you can find somebody, too? I probably wouldn't be going to this guy if he wasn't covered by insurance. Although I am going to be going 3 hours out of my way to see him. LOL (These types of dr's are hard to come by!!)

     
    Old 03-29-2007, 08:23 AM   #6
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    Re: Are there any LLMD's that are covered by insurance?

    The most expensive Lyme Dr. I saw was covered by insurance. Ask up front how many copays you will have. After this Dr. drained every cent he could from my insurance company he sent me a bill for 3 copays a week. It adds up, I had been seeing him for a year.

    He told me he would cure me. I was no where near cured but he would not treat anymore after the insurance cut off payment for the IV.

     
    Old 03-29-2007, 01:13 PM   #7
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Dave. Many Lyme doctors do not take insurance because they often do not get reimbursed by the companies. People usually pay up front and submit the bills to their company for what they will pay. You could call and see what your company would cover.

     
    Old 04-13-2007, 11:21 AM   #8
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    Re: Are there any LLMD's that are covered by insurance?

    Hi: I was wondering if your Lyme has gone in remission after being treated by this doctor in PA? Would you please give me his name if you've had sucess with him? Thanks!

     
    Old 04-13-2007, 03:20 PM   #9
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Psalm30, welcome to the board!

    Do you have Lyme disease? Below is a Lyme symptom list. You can have any combination of symptoms.

    Unexplained fevers, sweats, chills, or flushing
    Unexplained weight change--loss or gain
    Fatigue, tiredness, poor stamina
    Unexplained hair loss
    Swollen glands
    Sore throat
    Testicular pain/pelvic pain
    Unexplained menstrual irregularity
    Unexplained milk production: breast pain
    Irritable bladder or bladder dysfunction
    Sexual dysfunction or loss of libido
    Upset stomach
    Change in bowel function-constipation, diarrhea
    Chest pain or rib soreness
    Shortness of breath, cough
    Heart palpitations, pulse skips, heart block
    Any history of a heart murmur or valve prolapse?
    Joint pain or swelling
    Stiffness of the joints, neck, or back
    Muscle pain or cramps
    Twitching of the face or other muscles
    Headache
    Neck creeks and cracks, neck stiffness, neck pain
    Tingling, numbness, burning or stabbing sensations, shooting pains
    Facial paralysis (Bell's Palsy)
    Eyes/Vision: double, blurry, increased floaters, light sensitivity
    Ears/Hearing: buzzing, ringing, ear pain, sound sensitivity
    lncreased motion sickness, vertigo, poor balance
    Lightheadedness, wooziness
    Tremor
    Confusion, difficulty in thinking
    Difficulty with concentration, reading
    Forgetfulness, poor short term memory
    Disorientation: getting lost, going to wrong places
    Difficulty with speech or writing
    Mood swings, irritability, depression
    Disturbed sleep-too much, too little, early awakening
    Exaggerated symptoms or worse hangover from alcohol

    It is very important to see a knowledgeable doctor. Many doctors do not understand Lyme and treat with outdated protocols. Besides Lyme, ticks can transmit several co-infections including Babesiosis, Ehrlichiosis (HME & HGE), Bartonella, and Mycoplasma. It is estimated that 60% of people who have Lyme are co-infected. It may affect treatment choice and progress. It is important to be tested for these by a Lyme reputable lab such as IgeneX in Palo Alto, CA.

    I know of a few Lyme doctors in the MD/DC area. If you would like their names, let me know. There is also one in Hermitage, PA who comes highly recommended.

    It is also important to learn as much as possible. I recommend reading Dr. Joseph Burrascano's 2005 Diagnostic Hints and Treatment Guidelines For Lyme and Other Tick Borne Illnesses. He is one of the top Lyme doctors in the country, and many Lyme doctors follow his protocols. I also recommend the book "Everything You Need To Know About Lyme Disease (2nd edition)" by Karen Vanderhoof-Forschner.

     
    Old 04-14-2007, 09:09 AM   #10
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Ticker:

    Thanks for responding to my question. yes, I have Lyme and I live in MD with access to DC or Baltimore area physicians. Would you please give a list of all of the doctors in DC or Baltimore area in MD? I've made an appointment with a doctor, but I have a feeling that he may not be the one I need. Thanks!

     
    Old 04-14-2007, 04:34 PM   #11
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Psalm30. The Lyme doctors I know of in your area are Dr. Kenneth Singleton in Towson, MD, Dr. Elizabeth Lucus in Timonium, MD, and Dr. Mark Garzon in DC. Dr. Singelton comes highly recommended. All I know about the other two is that they are supposed to be Lyme knowledgeable.

    I hope you can see someone soon. Good luck!

     
    Old 04-15-2007, 06:27 AM   #12
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    Re: Are there any LLMD's that are covered by insurance?

    Quote:
    Originally Posted by Psalm30 View Post
    Hi Ticker:

    Thanks for responding to my question. yes, I have Lyme and I live in MD with access to DC or Baltimore area physicians. Would you please give a list of all of the doctors in DC or Baltimore area in MD? I've made an appointment with a doctor, but I have a feeling that he may not be the one I need. Thanks!
    I'm having great luck with a doc in Rockville MD. Optimal Health in Rockville Md; Dr B. Robert Mozayeni. See the "Great Docs" stickied thread for additional info.

    He is using an unconventional approach of antibiotics, Benicar, and supplements, and I've seen great improvement in only 4 months.

     
    Old 04-15-2007, 07:06 AM   #13
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Bill. Did he test you for all the co-infections? What dose of Minocycline does he prescribe?

     
    Old 04-15-2007, 03:30 PM   #14
    Bill S
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    Re: Are there any LLMD's that are covered by insurance?

    Quote:
    Originally Posted by ticker View Post
    Hi Bill. Did he test you for all the co-infections? What dose of Minocycline does he prescribe?
    He did test me for Babeosis, for both testable variants, with no luck. I still have wierd rashes that don't resemble Babs or Bartonella. Dr Jemsek in one of his papers, showed pictures that resemble the rashes I get - apparently some patients get them, but they normally go away with prolonged treatment. Mine just flared up big-time, so I know there are still critters in there, despite my feeling very well indeed.

    I don't know the typical Minocycline dose, as I had some very ugly die-off reactions that at the time we thought might be a drug reaction to the Doxycycline I was on. I was on the Minocycline for ONE day and started to get the very same red spots all over my body, so he stopped it.

    He tried 100mg a day. My father in law also sees him, and I think he was on 50mg 2 x a day or so...in any case, the doc seems to want to start low and work up to a moderate dose; he doesn't seem to like to give near-max doses unless he really has to. The doc says that using the Benicar seems to allow the antibiotics to get at the spirochetes more easily, so high doses aren't worth the additional risk and cost in most cases.

     
    Old 04-16-2007, 11:35 AM   #15
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    Re: Are there any LLMD's that are covered by insurance?

    Hi Bill S:

    How long ago were you diagnosed with Lyme? How long have you been under Dr. Mozayeni's care? How long did it take you to feel better?.... Sorry, for asking so many questions... Would you care to share any info. about your recovery? I'll be grateful! Thanks!

     
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